Highlights of What Was New in the 2nd Edition:

New case studies—including a new Kanban case study (Northampton General Hospital) and another that ties together the themes of standardized work, Kanban, 5S, visual management, and Lean leadership for the prevention of patient harm

New examples and updated data throughout, including revised chapters on patient safety and preventing medical errors

Details:

General

“Points to Ponder” at the end of each chapter are now called “Points for Group Discussion,” with some new questions added.

Chapter 1

Updated initial introduction (talking about “starting from need” in terms of why we use Lean methods and principles)

Added callout talking about Toyota’s reputation and quality

Updated lean history to reference Joan Wellman and Seattle Children’s early lean work

“A British Jour­nal of Ob­stet­rics and Gy­naecol­ogy study of Western Eu­rope found that ter­mi­nol­ogy alone caused up to 40% vari­ation and 17% false reductions in in­fant mor­tal­ity.”wsj.com/articles/singl…

Book Endorsements:

"Mark Graban is the consummate translator of the vernacular of the Toyota Production System into the everyday parlance of health care. With each concept and its application, the reader is challenged to consider what is truly possible in the delivery of health care if only standardized systems borrowed from reliable industries, were implemented. Graban provides those trade secrets in an understandable and transparent fashion." -- Richard Shannon, MD Executive Vice President for Health Affairs, University of Virginia

"The concepts outlined in this book are the most powerful tools that I have ever encountered to foster innovation, ownership, and accountability at the front line staff level. This is a must read for any leader in today’s increasingly complex healthcare industry." -- Brett Lee, Ph.D., FACHE Market Chief Executive Officer, Tenet Healthcare